| NPI | 1194479725 |
|---|---|
| Doing Business As | NORTHSHORE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ERIC TABOR Authorized Official 985-641-5198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2025-06-10 |